Abducens schwannoma inside the cavernous sinus proper: Case report

被引:23
作者
Nakagawa, T
Uchida, K
Ozveren, MF
Kawase, T
van Loveren, H
Youssef, AS
机构
[1] Keio Univ, Sch Med, Dept Neurosurg, Shinjuku Ku, Tokyo 1608582, Japan
[2] Firat Univ, Sch Med, Dept Neurosurg, Elazig, Turkey
[3] Univ S Florida, Tampa, FL USA
来源
SURGICAL NEUROLOGY | 2004年 / 61卷 / 06期
关键词
abducens schwannoma; intracavernous sinus; functional preservation;
D O I
10.1016/S0090-3019(03)00580-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND Only 2 cases of abducens nerve schwannoma solely inside the cavernous sinus have been reported. In both cases, abducens nerve palsy remained after operation. We report the first case of abducens nerve schwannoma inside the cavernous sinus proper with postoperative recovery from abducens nerve palsy. CASE DESCRIPTION The patient was a 47-year-old female who developed left abducens and trigeminal nerve palsies. Neuroradiological examination revealed left intra-cavernous sinus tumor. Total removal of the tumor was performed. The location of the tumor was confirmed intraoperatively inside the cavernous sinus itself, with no relation to the trigeminal nerve. Further, the relation of the tumor to one particular nerve fiber within the abducens nerve bundle was confirmed inside the cavernous sinus. After surgery, the patient had transient abducens nerve palsy. It had totally disappeared by 6 months. CONCLUSION When the tumor origin is just within the spacious cavernous sinus rather than more posterior in the narrow dural tunnel of Dorello's canal, successful preservation of the nerve function is possible postoperatively through a thorough knowledge of the membranous anatomy and careful preoperative study of the radiographic findings. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:559 / 563
页数:5
相关论文
共 28 条
[1]  
Beppu Takaaki, 1997, Neurologia Medico-Chirurgica, V37, P416, DOI 10.2176/nmc.37.416
[2]   NEURINOMA OF THE 3RD, 4TH, AND 6TH CRANIAL NERVES - A SURVEY AND REPORT OF A NEW 4TH NERVE CASE [J].
CELLI, P ;
FERRANTE, L ;
ACQUI, M ;
MASTRONARDI, L ;
FORTUNA, A ;
PALMA, L .
SURGICAL NEUROLOGY, 1992, 38 (03) :216-224
[3]  
Cerillo A, 1995, J Neurosurg Sci, V39, P165
[4]  
CHEN BH, 1981, NEUROSURGERY, V9, P64
[5]   Head and neck schwannomas - a 10 year review [J].
Colreavy, MP ;
Lacy, PD ;
Hughes, J ;
Bouchier-Hayes, D ;
Brennan, P ;
O'Dwyer, AJ ;
Donnelly, MJ ;
Gaffney, R ;
Maguire, A ;
O'Dwyer, TP ;
Timon, CV ;
Walsh, MA .
JOURNAL OF LARYNGOLOGY AND OTOLOGY, 2000, 114 (02) :119-124
[6]   Benign nonmeningeal tumors of the cavernous sinus [J].
Eisenberg, MB ;
Al-Mefty, O ;
DeMonte, F ;
Burson, GT .
NEUROSURGERY, 1999, 44 (05) :949-954
[7]   TUMORS OF THE LATERAL WALL OF THE CAVERNOUS SINUS [J].
ELKALLINY, M ;
VANLOVEREN, H ;
KELLER, JT ;
TEW, JM .
JOURNAL OF NEUROSURGERY, 1992, 77 (04) :508-514
[8]   6TH NERVE SCHWANNOMA - MR AND CT DEMONSTRATION [J].
GINSBERG, F ;
PEYSTER, RG ;
ROSE, WS ;
DRAPKIN, AJ .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1988, 12 (03) :482-484
[9]  
GUTMAN I, 1986, OPHTHALMOLOGY, V93, P913
[10]   6TH NERVE NEUROMA IN THE CAVERNOUS SINUS - CT FEATURES [J].
HANSMAN, ML ;
HOOVER, ED ;
PEYSTER, RG .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1986, 10 (06) :1030-1032